What are the potential medical causes for a 40-year-old woman experiencing severe menstrual pain that worsens significantly during urination and bowel movements on the fourth and fifth days of her cycle, causes abdominal tenderness to gentle touch, and has become unresponsive to mefenamic acid over the past three months? | Apollo Pharmacy

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What are the potential medical causes for a 40-year-old woman experiencing severe menstrual pain that worsens significantly during urination and bowel movements on the fourth and fifth days of her cycle, causes abdominal tenderness to gentle touch, and has become unresponsive to mefenamic acid over the past three months?

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What are the potential medical causes for a 40-year-old woman experiencing severe menstrual pain that worsens significantly during urination and bowel movements on the fourth and fifth days of her cycle, causes abdominal tenderness to gentle touch, and has become unresponsive to mefenamic acid over the past three months?

Asked by Female, 40 · 12 days ago

Veda Maddala

M Pharmacy

12 days ago

When severe menstrual pain worsens during urination and bowel movements and no longer responds to mefenamic acid, it often suggests a condition like endometriosis, where tissue similar to the uterine lining grows on pelvic organs like the bladder or bowel. Other possibilities include adenomyosis or pelvic adhesions. Since your symptoms have changed and you have tenderness to the touch, I gently encourage you to schedule an appointment with your gynecologist. They can perform an ultrasound or pelvic MRI to find the exact cause.

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What are the potential medical causes for a 40-year-old woman experiencing severe menstrual pain that worsens significantly during urination and bowel movements on the fourth and fifth days of her cycle, causes abdominal tenderness to gentle touch, and has become unresponsive to mefenamic acid over the past three months?

Answered 12 days ago

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